Vascular smooth muscle cells (SMC), when stimulated by vascular injury, contribute to the development of intimal hyperplasia by migrating from the media to the intima, and subsequently, by proliferating in the intima. Plasminogen activators (PA) are a class of fibrinolytic molecules that also facilitate the movement of cells through tissue barriers and extracellular matrix. The enzymatic activity of both types of PA, tissue-type (t-PA) and urokinase-type (u-PA), is regulated in part through the expression of specific cell surface receptors and by plasminogen activator inhibitor type 1 (PAL-1). Recent data in vascular injury models have demonstrated increased expression of PA in temporal association with SMC proliferation and migration. More recently, it has been demonstrated that complexes of PA and PAL-1 become internalized via the alpha2-macroglobulin receptor/low density lipoprotein receptor-related protein (LRP). This process may be important in clearing inactive protease complexes and aiding cell migration. The major long term objective of this proposal is to further investigate the biological significance of the plasminogen activator system in vascular SMC during health and following vascular injury. Preliminary data suggests that SMC cultured from various adult human vascular sources express u-PAR in culture and that u-PAR protein and mRNA expression can be regulated. We will study the expression of u-PAR protein in response to pDGF, bFGF, interleukin-1, and heparin using radioligand binding studies, ELISA, and Western blot analysis. We will determine the steady state level of u-PAR mRNA in response to these agonists by Northern blot analyses. We will study whether or not these agonists affect the capacity of SMC to internalize and degrade radiolabeled u=PAL-1. We will study the effect of exogenously added u-PA or uPA/PAI-1 complexes on: a) SMC migration, using a linear under-agarose assay, and b) SMC proliferation, using both a quantitative cell protein assay and a 3H-thymidine incorporation assay. Finally, we will compare the expression of u-PAR protein and mRNA in vascular SMC using immunohistochemistry and in situ hybridization, respectively, in normal and diseased coronary tissues. Identification of the factors that regulate plasminogen activation system in health and disease may facilitate the development of a biological interventional approach to the prevention or treatment of intimal hyperplasia.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08HL002870-04
Application #
2444977
Study Section
Research Training Review Committee (RTR)
Project Start
1994-05-01
Project End
1998-06-30
Budget Start
1997-07-01
Budget End
1998-06-30
Support Year
4
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Georgetown University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
049515844
City
Washington
State
DC
Country
United States
Zip Code
20057
Raghunath, P N; Tomaszewski, J E; Brady, S T et al. (1995) Plasminogen activator system in human coronary atherosclerosis. Arterioscler Thromb Vasc Biol 15:1432-43
Okada, S S; Tomaszewski, J E; Barnathan, E S (1995) Migrating vascular smooth muscle cells polarize cell surface urokinase receptors after injury in vitro. Exp Cell Res 217:180-7